Hello, I would be happy to assist you.
Have you noticed any pelvic pain, discomfort, or pain with intercourse?
You may very well have uterine fibroids.
These are masses in the uterus (womb) that are typically benign and are very common.
I recommend you visit a gynecologist to have an exam and ultrasound performed to identify the cause.
We typically will prescribe birth control to help with your bleeding. However, if you have significant pain, a hysterectomy may be the recommended treatment.
A pap smear will also be obtained to exclude cervical abnormalities (pre-cancer/cancer) as the cause. However, with this one will typically have bleeding all the time, not only during and after the period. Uterine fibroids are most likely the cause.
Great. Did your doctor say "nothing significant" or something else?
Sometimes doctors will disregard small fibroids although they can also cause the same symptoms as larger fibroids.
I would then recommend he clarify this statement. Most likely smaller uterine fibroids were seen. An endometrial biopsy may be warranted if the lining to the uterus looked "thick." Treatment-wise, the first step is to try birth control because it naturally regulates and reduces bleeding.
If you don't have any medical issues that makes using birth control unsafe, this is the next step and should adequately treat your abnormal bleeding.
No, most likely there is an issue like fibroids causing the uterus to be enlarged. Especially since the lining was thick. If your doctor has not overlooked fibroids then the most likely cause is a condition called adenomyosis.
This is where the glands that normally line the uterus are abnormally located within the wall/muscle layer of the uterus. It also causes the uterus to appear enlarged and you will develop pain and irregular bleeding.
I would definitely recommend the biopsy since the lining was thick. Polyps are like benign pieces of tissue...similar to moles on the body. They can cause bleeding and thickening on the ultrasound, but do not cause the uterus to appear enlarged.
Afterward, birth control should be given to regulate your bleeding. If this fails to help, a hysterectomy will be necessary.
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